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目的:了解社区困难老人的健康状况、卫生资源利用及服务需求,为家庭医生健康管理提供依据。方法:采用问卷的方式,对2012年3-5月长宁区江苏社区纳入民政医疗保障项目300名困难老人进行卫生资源利用及需求调查。结果:调查对象慢性病患病率达99.3%,患两种以上慢性病占69.0%;主要是心血管系统、运动系统和心理精神疾病;在过去一年里10.7%的被调查者住过院。主要卫生需求依次为:健康体检、健康咨询和指导、健康知识讲座。结论:城市困难老人的健康状况较差,卫生服务需求量大,应将社区卫生与医疗帮困紧密结合,达到人人享有基本卫生服务的目的。
OBJECTIVE: To understand the health status of the elderly in difficult community, utilization of health resources and service needs, and provide the basis for the family doctor’s health management. Methods: A questionnaire survey was conducted on the utilization and demand of health resources of 300 elderly people in Jiangsu Province, which was included in the civil medical insurance project from March to May in 2012 in Changning District. Results: The prevalence of chronic diseases was 99.3% and 69.0% were related to two or more kinds of chronic diseases. The main diseases were cardiovascular system, sports system and mental illness. In the past year, 10.7% of the respondents were hospitalized. The main health needs are: health examination, health consultation and guidance, health knowledge lecture. Conclusion: The urban poor elderly have poor health conditions and high demand for health services. Community health and medical assistance should be closely integrated so that all people have access to basic health services.